A1 Refereed original research article in a scientific journal
Fracture resistance of endodontically restored, weakened incisors
Authors: Rita G. E. C. Cauwels, Lippo V. J. Lassila, Luc C. Martens, Pekka K. Vallittu, Ronald M. H. Verbeeck
Publication year: 2014
Journal: Dental Traumatology
Volume: 30
Issue: 5
First page : 348
Last page: 355
Number of pages: 8
ISSN: 1600-4469
eISSN: 1600-9657
DOI: https://doi.org/10.1111/edt.12103
ObjectivesTo test the fracture strength of weakened bovine incisors endodontically treated with mineral trioxide aggregate (MTA), calcium phosphate bone cement (CPBC) or fibre reinforced composite (FRC) posts, and to evaluate the fracture mode.
MethodsWeakened bovine incisors (n=75), standardized according to the dentinal wall thickness at the cervical area, were randomly assigned to one control group and three experimental groups. Unfilled teeth were assigned to group 1 (n=20) and served as control group. Group 2 (n=17) consisted of teeth filled with MTA. In group 3 (n=18), the incisors were filled with CPBC and in group 4 (n=20) with FRC posts. All specimens were subjected to load at a cross-head speed of 60mmmin(-1) until fracture occurred. The initial (IL) and final fracture (FL) loads (N) were recorded, and the failure mode among the different groups was evaluated.
Resultsanova showed a statistically significant difference in fracture load among the groups. Tukey's test revealed a significant difference for the IL between the control group and the experimental groups with exception of the MTA group. The FL was not significantly different among the experimental groups. A high percentage of favourable fractures was seen in the FRC and CPBC groups.
ConclusionFRC posts and CPBC could be promising materials to strengthen non-vital structurally compromised teeth.